Individual
DENEISHA HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
920 PROGRESS ST, BATON ROUGE, LA 70802-2680
(225) 931-6364
Mailing address
920 PROGRESS ST, BATON ROUGE, LA 70802-2680
(225) 931-6364
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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